Individual
BLERON JANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 LARKIN DR, MONROE, NY 10950-4911
(845) 783-3505
Mailing address
929 W END AVE APT 1D, NEW YORK, NY 10025-3548
(646) 763-3966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060545
NY
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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